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33 y/o woman, shortness of breath, pleuritic ches

Presentation

A 33-year-old white woman was diagnosed with chronic myelogenous leukemia on routine blood examination in 1976. Untreated, she remained asymptomatic until 1981 when she was noted to have a rising white blood cell count. Chemotherapy was started and she subsequently suffered its complications (immunosuppression, thrombocytopenia). In July 1982 she developed blast crisis and neurological deterioration (attributed to brain abscess).

Six days prior to her death in December 1982, she was admitted to the hospital because of shortness of breath and pleuritic chest pain following a fall and a 30 second loss of consciousness. She was hypotensive and tachycardic. Her temperature was 97 degrees F and arterial pO2 was 36 mmHg.

Images

Chest Radiograph
Perfusion Lung Scintigraphy
Pulmonary Angiogram
Second Perfusion Scan

Description of Findings

Full case report

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